92239 (Exp 3-31-2025).xlsx

XLSX spreadsheet 76 KB Posted

Attached to
Project Rental Assistance Program of Section 811 Supportive Housing for Persons with Disabilities FY 2025
Opportunity number
FR-6900-N-53
Issued by

About this file

This file is HUD Form 92239-PRA, a detailed budget template spreadsheet for grant applications under the Project Rental Assistance Program of Section 811 Supportive Housing for Persons with Disabilities. The template contains separate budget worksheets for Years 1-8 and a summary sheet for all years combined, with each sheet breaking down costs into categories including rental assistance, administrative costs (salaries and supplies), and other direct costs. The form tracks funding sources across HUD share, state share, local/tribal share, other sources, and program income.

The template supports applications to HUD's FY2025 Project Rental Assistance Program (NOFO FR-6900-N-53), which provides rental assistance funding to state housing agencies for extremely low-income persons with disabilities. The program aims to support innovative state-level collaborations between housing and health/human services agencies to increase access to affordable permanent supportive housing. States can either directly administer rental assistance contracts or work with qualified third parties. The form requires an estimated 1 hour to complete and falls under OMB Approval No. 2502-0608 (expires 03/31/2025).

92239 (Exp 3-31-2025).xlsx

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HUD-426.pdf PDF
Section-811-PRA-NOFO_FR-6900-N-53.pdf PDF

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Assumptions

ASSUMPTIONS
Monthly Rentper unit0
Tenant Contribution0
Monthly Subsidy0
x12
Annual Subsidy per unit0Annual Escalator0.03
State Portionper unit0%0
HUD Portionper unit0%0
Indian/Tribalper unit0%0
Other _________________per unit0%0

Year 1

Grant Application Detailed BudgetU.S. Department of Housing and Urban DevelopmentOMB Approval No.
Functional Categories [Year 1: X] [Year 2:__] [Year 3:__] [Year 4:__] [Year 5:__] [Year 6:__] [Year 7:__] [Year 8:__] [All Years:__]
Name of Project/Activity:Column 1Column 2Column 3Column 4Column 5Column 6
Year-end Unit Lease-up:15HUD ShareState ShareLocal/Tribal ShareOtherProgram IncomeTotal
A. Rental Assistance$ - 0$ - 0$ - 0$ - 0$ - 0
B. Administrative Costs$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0
1. Salaries$ - 0
2. Supplies$ - 0
C. Other (Direct Costs)$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0
1.___________________$ - 0
2. __________________$ - 0
3. __________________$ - 0
D. Total Costs$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0

form HUD-92239-PRA (10/2013)

OMB Approval No. 2502-0608 (exp. 03/31/2025)

&8

Year 2

Grant Application Detailed BudgetU.S. Department of Housing and Urban DevelopmentOMB Approval No. 2502-0608 Exp 04/30/2020
Functional Categories [Year 1] [Year 2:_X_] [Year 3:__] [Year 4:__] [Year 5:__] [Year 6:__] [Year 7:__] [Year 8:__] [All Years:__]
Name of Project/Activity:Column 1Column 2Column 3Column 4Column 5Column 6
Year-end Unit Lease-up:25HUD ShareState ShareLocal/Tribal ShareOtherProgram IncomeTotal
A. Rental Assistance$ - 0$ - 0
B. Administrative Costs$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0
1. Salaries$ - 0
2. Supplies$ - 0
C. Other (Direct Costs)$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0
1.___________________$ - 0
2. __________________$ - 0
3. __________________$ - 0
D. Total Costs$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0

The public reporting burden for this collection of information is estimated to average 1 hours, including the time for reviewing instructions, searching existing data sources, gathering and maintaining the data needed, and completing and reviewing the collection of information. Send comments regarding this burden estimate or any other aspect of this collection of information, including suggestions to reduce this burden, to the Reports Management Officer, Paperwork Reduction Project, to the Office of Information Technology, US. Department of Housing and Urban Development, Washington, DC 20410-3600. When providing comments, please refer to OMB Approval No. 2502-0608. HUD may not conduct and sponsor, and a person is not required to respond to, a collection of information unless the collection displays a valid control number. This collection of information is required, under Pub L. 111-374, to assist HUD in determining an applicant's eligibility and capacity to administer Project Rental Assistance Program funds to qualified multifamily rental owners for housing for persons with disabilities consistent with prescribed statutory and regulatory criteria for Direct Endorsement lenders to perform quality control reviews of loans originated by sponsored third party originators and to self-report findings of fraud, material misrepresentation, and other material findings to FHA. The information collected will be used to evaluate applications and make selection recommendations. No assurances of confidentiality are provided for this information collection.

form HUD-92239-PRA (02/2014)

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Year 3

Grant Application Detailed BudgetU.S. Department of Housing and Urban DevelopmentOMB Approval No.
Functional Categories [Year 1: X] [Year 2:__] [Year 3:__] [Year 4:__] [Year 5:__] [Year 6:__] [Year 7:__] [Year 8:__] [All Years:__]
Name of Project/Activity:Column 1Column 2Column 3Column 4Column 5Column 6
Year-end Unit Lease-up:15HUD ShareState ShareLocal/Tribal ShareOtherProgram IncomeTotal
A. Rental Assistance$ - 0$ - 0$ - 0$ - 0$ - 0
B. Administrative Costs$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0
1. Salaries$ - 0
2. Supplies$ - 0
C. Other (Direct Costs)$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0
1.___________________$ - 0
2. __________________$ - 0
3. __________________$ - 0
D. Total Costs$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0

&8Page 1 of 2 &"helvetica,Regular"&8form&"helvetica,Bold" HUD-424-CB&"helvetica,Regular" (1/2004)

Year 4

Grant Application Detailed BudgetU.S. Department of Housing and Urban DevelopmentOMB Approval No.
Functional Categories [Year 1: X] [Year 2:__] [Year 3:__] [Year 4:__] [Year 5:__] [Year 6:__] [Year 7:__] [Year 8:__] [All Years:__]
Name of Project/Activity:Column 1Column 2Column 3Column 4Column 5Column 6
Year-end Unit Lease-up:15HUD ShareState ShareLocal/Tribal ShareOtherProgram IncomeTotal
A. Rental Assistance$ - 0$ - 0$ - 0$ - 0$ - 0
B. Administrative Costs$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0
1. Salaries$ - 0
2. Supplies$ - 0
C. Other (Direct Costs)$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0
1.___________________$ - 0
2. __________________$ - 0
3. __________________$ - 0
D. Total Costs$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0

&8Page 1 of 2 &"helvetica,Regular"&8form&"helvetica,Bold" HUD-424-CB&"helvetica,Regular" (1/2004)

Year 5

Grant Application Detailed BudgetU.S. Department of Housing and Urban DevelopmentOMB Approval No.
Functional Categories [Year 1: X] [Year 2:__] [Year 3:__] [Year 4:__] [Year 5:__] [Year 6:__] [Year 7:__] [Year 8:__] [All Years:__]
Name of Project/Activity:Column 1Column 2Column 3Column 4Column 5Column 6
Year-end Unit Lease-up:15HUD ShareState ShareLocal/Tribal ShareOtherProgram IncomeTotal
A. Rental Assistance$ - 0$ - 0$ - 0$ - 0$ - 0
B. Administrative Costs$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0
1. Salaries$ - 0
2. Supplies$ - 0
C. Other (Direct Costs)$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0
1.___________________$ - 0
2. __________________$ - 0
3. __________________$ - 0
D. Total Costs$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0

&8Page 1 of 2 &"helvetica,Regular"&8form&"helvetica,Bold" HUD-424-CB&"helvetica,Regular" (1/2004)

Year 6

Grant Application Detailed BudgetU.S. Department of Housing and Urban DevelopmentOMB Approval No.
Functional Categories [Year 1: X] [Year 2:__] [Year 3:__] [Year 4:__] [Year 5:__] [Year 6:__] [Year 7:__] [Year 8:__] [All Years:__]
Name of Project/Activity:Column 1Column 2Column 3Column 4Column 5Column 6
Year-end Unit Lease-up:15HUD ShareState ShareLocal/Tribal ShareOtherProgram IncomeTotal
A. Rental Assistance$ - 0$ - 0$ - 0$ - 0$ - 0
B. Administrative Costs$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0
1. Salaries$ - 0
2. Supplies$ - 0
C. Other (Direct Costs)$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0
1.___________________$ - 0
2. __________________$ - 0
3. __________________$ - 0
D. Total Costs$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0

&8Page 1 of 2 &"helvetica,Regular"&8form&"helvetica,Bold" HUD-424-CB&"helvetica,Regular" (1/2004)

Year 7

Grant Application Detailed BudgetU.S. Department of Housing and Urban DevelopmentOMB Approval No.
Functional Categories [Year 1: X] [Year 2:__] [Year 3:__] [Year 4:__] [Year 5:__] [Year 6:__] [Year 7:__] [Year 8:__] [All Years:__]
Name of Project/Activity:Column 1Column 2Column 3Column 4Column 5Column 6
Year-end Unit Lease-up:15HUD ShareState ShareLocal/Tribal ShareOtherProgram IncomeTotal
A. Rental Assistance$ - 0$ - 0$ - 0$ - 0$ - 0
B. Administrative Costs$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0
1. Salaries$ - 0
2. Supplies$ - 0
C. Other (Direct Costs)$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0
1.___________________$ - 0
2. __________________$ - 0
3. __________________$ - 0
D. Total Costs$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0

&8Page 1 of 2 &"helvetica,Regular"&8form&"helvetica,Bold" HUD-424-CB&"helvetica,Regular" (1/2004)

Year 8

Grant Application Detailed BudgetU.S. Department of Housing and Urban DevelopmentOMB Approval No.
Functional Categories [Year 1: X] [Year 2:__] [Year 3:__] [Year 4:__] [Year 5:__] [Year 6:__] [Year 7:__] [Year 8:__] [All Years:__]
Name of Project/Activity:Column 1Column 2Column 3Column 4Column 5Column 6
Year-end Unit Lease-up:15HUD ShareState ShareLocal/Tribal ShareOtherProgram IncomeTotal
A. Rental Assistance$ - 0$ - 0$ - 0$ - 0$ - 0
B. Administrative Costs$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0
1. Salaries$ - 0
2. Supplies$ - 0
C. Other (Direct Costs)$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0
1.___________________$ - 0
2. __________________$ - 0
3. __________________$ - 0
D. Total Costs$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0

&8Page 1 of 2 &"helvetica,Regular"&8form&"helvetica,Bold" HUD-424-CB&"helvetica,Regular" (1/2004)

All Years

Grant Application Detailed BudgetU.S. Department of Housing and Urban DevelopmentOMB Approval No. 2501-0017 (exp. 11/30/2014)
Functional Categories [Year 1: __] [Year 2: __] [Year 3: __] [Year 4:__] [Year 5:__] [Year 6: __] [Year 7:__] [Year 8:__] [All Years: X]
Name of Project/Activity:Column 1Column 2Column 3Column 4Column 5Column 6Column 7Column 8Column 9
HUD ShareApplicant MatchOther HUD FundsOther Fed ShareState ShareLocal/Tribal ShareOtherProgram IncomeTotal
a. Personnel (Direct Labor)$$$$$$$$$
b. Fringe Benefits
c. Travel
d. Equipment (only items > $5,000 depreciated value)
e. Supplies (only items w/depreciated Value < $5,000 )
f. ContractualERROR:#REF!ERROR:#REF!
g. Construction
1. Administration and legal expenses
2. Land, structures, rights-of way, appraisals, etc.
3. Relocation expenses and payments
4. Architectural and engineering fees
5. Other architectural and engineering fees
6. Project inspection fees
7. Site work
8. Demolition and removal
9. Construction
10. Equipment
11. Contingencies
12. Miscellaneous
h. Other (Direct Costs)ERROR:#REF!ERROR:#REF!ERROR:#REF!
i. Subtotal of Direct CostsERROR:#REF!ERROR:#REF!ERROR:#REF!
j. Indirect Costs (% Approved Indirect Cost Rate:___%)waived
Grand Total (Year:___):
Grand Total (All Years):ERROR:#REF!
Note: admin costs in (h) Other represent Direct Costs only, all Indirect Costs have been waived
Clarification: The HUD-424-CB that is part of the SF-424 PDF is a duplicate of this "All Years" spreadsheet.
This Excel file has been included so as to list the detailed budget information for Years 4, 5, 6, 7, and 8.
Please see the sheets previous to this one for the budget information from these years.

&8Page 1 of 2 &"helvetica,Regular"&8form&"helvetica,Bold" HUD-424-CB&"helvetica,Regular" (1/2004)

Instructions

Instructions for the HUD Grant Application Detailed Budget Form
Public reporting burden for this collection of information is estimated to average 1 hour per response, including the time for reviewing instructions, searching existing data
sources, gathering and maintaining the data needed, and completing and reviewing the collection of information. Send comments regarding this
collection of information, including suggestions to reduce this burden, to the Reports Management Officer, Paperwork Reduction Project, to the Office of Information Technology,
US. Department of Housing and Urban Development, Washington, DC 20410-3600.When providing comments, please refer to OMB Approval No. 2502-0608. HUD may not conduct and sponsor,
and a person is not required to respond to, a collection of information unless the collection displays a valid control number. This collection of information is required, under Pub L. 111-374,
to assist HUD in determining an applicant's eligibility and capacity to administer Project Rental Assistance Program funds to qualified multifamily rental owners for housing for persons with
disabilities consistent with prescribed statutory and regulatory criteria for Direct Endorsement lenders to perform quality control reviews of loans originated by sponsored
General Instructions
This form is designed so that an application can be made for any of HUD's grant programs. Separate sheetsLine h.--Enter any other direct costs not already addressed above.
must be used for each proposed program year and for a summary of all years.Line i.--Calculate the totals of all applicable columns to determine the Subtotal of Direct Costs.
Check applicable program year or all years box at top of page to indicate which applies.Line j.--Indicate the approved Indirect Cost Rate (if any) and calculate the indirect cost in accordance with
On the final sheet enter the Grand Total for all years in the applicable box at thethe terms of your approved indirect cost rate and enter the resulting amount.
bottom of the page. In preparing the budget, adhere to any existing HUD requirements whichGrand Total (Year:__)--Enter the sum of lines i. and j. under column 9 for each year, and enter the
prescribe how and whether budgeted amounts should be separately shown for different functions orapplicable year, in the blank, for each sheet completed.
activities within the program. For some programs, HUD may require budgets to be shown separately byGrand Total (All Years)--Enter the sum of all the, "Grand Total (Year:__)" amounts from each sheet
function or activity. Your budget information should show the entire cost of your proposed program ofcompleted, under column 9, for all proposed years.
activities per year. If you are not using funds in any of the line item categories, you should leave the item
blank. Pages may be duplicated to show budget data for individual programs, projects or activities.For each budget category (personnel, fringe benefits, travel, etc) you should identify the amount of funding
you plan on using in your grant program. You should complete each column as follows:
NOTE: Not all budget categories on this form are eligible for funding under all programs.
Please see eligible activities under the specific program for which you are seekingColumn 1 - Identify the amount of funds that you will need from the HUD grant program for
funding.which you are seeking funding.
Budget CategoriesColumn 2 - Identify any matching funds that you are required to include in your proposed
The budget categories identifies how your program funds will be allocated by type ofprogram in order to be eligible for assistance.
use, e.g., funds going for salaries, travel, contracts, etc. Each of these line items shouldColumn 3 - Identify any other HUD funds that you will be adding to this program either
be broken out under each applicable column.through your formula or competitive grant programs.
Lines a-f--Show the totals of Lines a to f in each column.Column 4 - Identify any other Federal funds that you will be adding to this program either
Lines g. Show construction related expenses in the appropriate categories below.through your formula or competitive grant programs.
Line g.1.--Enter estimated amounts needed to cover administrative expenses. Do not include costs whichColumn 5 - Identify any State funds that you will be adding to this program.
are related to the normal functions of government.Column 6 - Identify any Local or Tribal Government funds that you will be adding to this
Line g.2.--Enter estimated site and right(s)-of-way acquisition costs (this includes purchase, lease,program.
and/or easements).Column 7 - Identify any additional funds not previously identified in Columns 1 - 6, that
Line g.3.--Enter estimated costs related to relocation advisory assistance,you intend to use for your proposed program.
replacement housing, relocation payments to displaced persons and businesses, etc.Column 8 - Identify any program income that you expect to generate under this program.
Line g.4.--Enter estimated basic engineering fees related to constructionColumn 9 -Add columns 1 - 8 across and place the total in Column 9.
(this includes start-up services and preparation of project performance work plan).
Line g.5.--Enter estimated engineering costs, such as surveys, tests, soil borings, etc.
Line g.6.--Enter estimated engineering inspection costs.
Line g.7.--Enter the estimated site preparation and restoration which are not
included in the basic construction contract.
Line g.8.--Enter the estimated costs related to demolition activities.
Line g.9.--Enter estimated costs of the construction contract.
Line g.10.--Enter estimated cost of office, shop, laboratory, safety equipment,
etc. to be used at the facility, if such costs are not included in the construction contract.
Line g.11.--Enter any estimated contingency costs.
Line g.12.--Enter estimated miscellaneous costs.

&"helvetica,Regular"&8Page 2 of 2 &"helvetica,Regular"&8form &"helvetica,Bold"HUD-424-CB&"helvetica,Regular" (1/2004)

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